尼日利亚哈科特港一家三级医院单胎早产的患病率、相关因素和结局

P. Awoyesuku, D. John, A. Josiah, L. Sapira-Ordu, Chinweowa Ohaka, Simeon C. Amadi
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引用次数: 0

摘要

背景:早产是一个重要的管理挑战,也是一个与较高的围产期发病率和死亡率相关的主要公共卫生问题。尽管据报道撒哈拉以南非洲的早产率很高,但关于该次区域早产相关因素的可用数据很少。目的:确定尼日利亚三级护理中心早产的患病率、相关因素和结果。材料和方法:在2020年1月至2021年12月的两年时间里,在里弗斯州立大学教学医院进行了一项早产的回顾性病例对照研究。一个不匹配的足月分娩对照组被用于比较。使用结构化形式从所有参与者的医院记录中检索数据。使用IBM SPSS 23版对数据进行分析,显著性设置为P<0.05。结果:3476例单胎分娩中,258例(7.4%)为早产。6名患者的数据不完整,被排除在进一步分析之外。大多数167例(66.3%)为中度早产,胎龄为32-35岁。出生时平均GA为32.02±2.26周。大多数年龄在31-40岁,产次为2-4岁。死产患者为71/252(28.2%),新生儿重症监护室(NICU)的19/101(18.8%)发生新生儿早期死亡。未预约的女性、妊娠期高血压/子痫患者和产后胎膜破裂(PROM)患者更有可能早产。小于32周的婴儿更有可能通过自然阴道分娩,并发生出生窒息。结论:单胎妊娠的早产发生率为7.4%,仍是围产期死亡的重要因素。妊娠期高血压疾病、胎膜早破和缺乏产前护理被确定为危险因素。
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Prevalence, associated factors, and outcomes of singleton preterm births at a Tertiary Hospital in Port-Harcourt, Nigeria
Background: Preterm birth poses an important management challenge and is a major public health problem associated with a higher perinatal morbidity and mortality. Although the rates of preterm birth are reportedly high in sub-Saharan Africa, there are little available data on factors associated with preterm birth in this sub-region. Aim: To determine the prevalence, associated factors, and outcomes of preterm births in a tertiary care centre in Nigeria. Materials and Methods: A retrospective case–control study of preterm births, in a two-year period between January 2020 and December 2021, was conducted at the Rivers State university teaching hospital. An unmatched control group of term births was used for comparison. Data were retrieved from the hospital records of all the participants using a structured pro forma. Data were analysed using IBM SPSS version 23 and the significance was set at P < 0.05. Results: Of 3476 singleton birth, 258 (7.4%) were preterm births. Six patients had incomplete data and were excluded from further analysis. Majority, 167 (66.3%), were moderate preterm, gestational age (GA) 32–35. The mean GA at birth was 32.02 ± 2.26 weeks. Majority were aged 31–40 years and parity of 2–4. Stillbirths were 71/252 (28.2%) and 19/101 (18.8%) admitted to the neonatal intensive care unit (NICU) suffered early neonatal death. Preterm birth was more likely in unbooked women, those who developed pregnancy-induced hypertension/eclampsia and following prelabour rupture of membranes (PROM). Babies <32 weeks were more likely delivered by spontaneous vaginal delivery and suffered birth asphyxia. Conclusion: The preterm birth prevalence among singleton gestation was 7.4% and remains a significant factor for perinatal death. Hypertensive disorders of pregnancy, PROM, and lack of antenatal care were identified as risk factors.
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来源期刊
自引率
0.00%
发文量
65
审稿时长
20 weeks
期刊介绍: The Nigerian Journal of Medicine publishes articles on socio-economic, political and legal matters related to medical practice; conference and workshop reports and medical news.
期刊最新文献
Knowledge of common cardiovascular diseases and its risk factors among members of a community in South-South Nigeria Prevalence, associated factors, and outcomes of singleton preterm births at a Tertiary Hospital in Port-Harcourt, Nigeria Assessment of factors affecting treatment adherence in patients with chronic kidney disease in Nigeria: A survey from a tertiary health-care centre Oral Neurofibroma: 10-Year Experience in Enugu A community survey of the vaccination status of under-five children in a community in Southern Nigeria
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